Idaho
Division of Occupational and Professional Licenses
MARIE ANN HOLM
Board Of Medicine
License number
PAT-1321
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
446 W WHITMAN ST APT #107 POCATELLO ID 83204
idaholicensing.com
ID 48353132
LAST UPDATED 2024-03-04 06:23:56 UTC
LAST UPDATED 2024-03-04 06:23:56 UTC
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